10D2226020 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

CLIA Number: 10D2226020

Facility Name: WALGREEN CO

Facility Address:
105 E OCEAN AVE
LANTANA, FL
ZIP 33462
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Facility Phone Number: 561 540-4423

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1609882182

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	10D2226020
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	105 E OCEAN AVE
City	LANTANA
State	FL
ZIP	33462
Phone	561 540-4423
CertificateType	4
CertificateEffectiveDate	5/26/2023
CertificateExpirationDate	5/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024